A client with peptic ulcer disease is prescribed a proton pump inhibitor (PPI) for acid suppression. The client asks the nurse about the best time to take the medication. Which of the following responses should the nurse provide?

"It is best to take the PPI with your meals to enhance its effectiveness."

"You should take the PPI on an empty stomach, preferably 30 minutes before a meal."

"You can take the PPI at any time of the day, as long as it is taken consistently."

"Taking the PPI before bedtime is most effective for managing nighttime acid reflux."

Answer and Explanation

The Correct Answer is B

Choice A reason:

Taking the PPI with meals is not the most effective timing for acid suppression. PPIs work best when taken on an empty stomach.

Choice B reason:

This statement is correct. PPIs are most effective when taken on an empty stomach, about 30 minutes before a meal. This allows the medication to be absorbed and inhibit acid secretion in the stomach before food intake.

Choice C reason:

While consistency in medication timing is important, taking the PPI at any time of the day may not optimize its effectiveness.

Choice D reason:

Taking the PPI before bedtime may not provide the best acid suppression throughout the day. Taking it on an empty stomach before a meal is a more appropriate approach.

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Correct Answer is C

Explanation

Choice A reason:

Elevated white blood cell count may indicate inflammation or infection, but it is not directly related to jaundice and dark-colored urine, which are characteristic of increased bilirubin levels.

Choice B reason:

Impaired blood clotting is not directly related to jaundice and dark-colored urine. It may be a concern in liver disease but does not explain the specific manifestations mentioned in the question.

Choice C reason:

This statement is correct. Jaundice and dark-colored urine are indicative of increased bilirubin levels in the blood, which can occur in cholecystitis due to obstruction of the bile ducts.

Choice D reason:

Elevated serum amylase is more associated with pancreatitis rather than cholecystitis. It is not directly related to the clinical manifestations described.

A. "The CT scan uses a magnetic field, so there is no radiation exposure." B. "The amount of radiation used in a CT scan is very low and safe." C. "There is no need to worry about radiation as the scan is done quickly." D. "CT scans do not use radiation; they use sound waves for imaging."

Correct Answer is B

Explanation

Choice A reason:

CT scans use X-rays, not magnetic fields, to create detailed cross-sectional images of the body. They involve radiation exposure.

Choice B reason:

This statement is correct. While CT scans use X-rays, the amount of radiation used in modern CT machines is relatively low and considered safe. The benefits of the diagnostic information obtained from the scan usually outweigh the risks associated with the small amount of radiation exposure.

Choice C reason:

The speed of the scan does not impact the radiation exposure. The amount of radiation used in a CT scan remains the same regardless of the scan duration.

Choice D reason:

CT scans use X-rays, not sound waves. Sound waves are used in ultrasound imaging, not in CT scans.

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A client with peptic ulcer disease is prescribed a proton pump inhibitor (PPI) for acid suppression. The client asks the nurse about the best time to take the medication. Which of the following responses should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with suspected cholecystitis presents with jaundice and dark-colored urine. Which of the following clinical manifestations should the nurse associate with these findings?

Correct Answer is C

Explanation

A client is undergoing an abdominal computed tomography (CT) scan to evaluate suspected cholecystitis. The client expresses concern about potential radiation exposure. Which of the following responses should the nurse provide?

Correct Answer is B

Explanation

A nurse is caring for a client with peptic ulcer disease who is receiving intravenous proton pump inhibitors (PPIs) to reduce stomach acid production. Which of the following nursing actions is a priority when administering PPIs to this client?

A nurse is caring for a client with peptic ulcer disease who is prescribed sucralfate. Which of the following instructions should the nurse provide to the client about taking sucralfate?

A client with chronic cholecystitis reports experiencing indigestion and bloating after meals. The nurse should recognize these symptoms as related to which of the following factors?

A client with peptic ulcer disease is prescribed misoprostol. Which of the following information should the nurse include in the client's medication education?

A client with peptic ulcer disease reports experiencing frequent abdominal pain, especially during mealtimes. Which of the following nursing interventions should the nurse implement to alleviate the client's pain?

A nurse is providing education to a client recently diagnosed with peptic ulcer disease. Which of the following risk factors should the nurse emphasize as contributing to the development of the client's condition?

A client asks the nurse about the common risk factors for peptic ulcer disease. Which of the following responses should the nurse provide?

A nurse is caring for a client who has undergone surgery for a peptic ulcer perforation. The client asks the nurse about the expected recovery time. Which of the following responses should the nurse provide?